Appeal Form (QA-CB-FORM-009)

QA-CB-FORM-009 · Appeal Form · version 3.0 · QA Assessor personnel certification

Use this form to appeal a certification decision (verification of a record, eligibility, the grant, refusal or grade of a certification, recertification, suspension, withdrawal or reduction of scope) or a course result. Appeals must be received within 30 calendar days of the decision (14 days for a course result). Submitting the form creates a case with a reference and sends you an automatic acknowledgement; a handler who was not involved in the decision confirms receipt in writing within 2 business days and you receive a written stage 1 outcome within 15 working days. The process, stage 2 and your rights are in the Complaints and Appeals Policy. Appeals are free and never disadvantage you.

Your name *

Email address *

Phone (optional)

Your relationship to QA Assessor *

The decision you are appealing and the date you were told of it *

Grounds of appeal: why you believe the decision was wrong (procedure not followed, evidence overlooked, requirements misapplied, course result error) *

The outcome you are seeking *

Evidence (one PDF, JPG or PNG up to 5 MB; you can send more by email quoting your reference)

I confirm that the information given is true to the best of my knowledge and is made in good faith, and I have read the Complaints and Appeals Policy and the Privacy Policy.

Prefer to send your appeal by email or post?

Use the headings below, complete every field and send it with your evidence to certification@qaassessor.com with the subject “Appeal”, or by post to QA Assessor Pvt Ltd at the address on the contact page. It is entered as a case within one business day and you receive the reference by email.

1. Your name
2. Register ID or application reference (APP-… or QAC-…)
3. Email address and phone
4. Scheme and grade concerned
5. The decision you are appealing and the date you were told of it
6. Grounds of appeal (why you believe the decision was wrong: procedure not followed, evidence overlooked, requirements misapplied, unfair treatment)
7. Evidence attached (list each document)
8. Outcome you are seeking
9. Declaration	I confirm that the information given is true and complete and I understand that the appeal will be reviewed by people not involved in the original decision. Signature: ________________________ Date: ______________

For QA Assessor use: reference ______ · received ______ · acknowledged ______ · Stage 1 reviewer ______ · Stage 1 outcome and date ______ · Stage 2 requested ______ · panel members ______ · Stage 2 outcome and date ______ · closed ______